School of Public Health, Mudanjiang Medical University, Mudanjiang, 157011, China.
School of Medicine, Tehran University of Medical Sciences, Tehran, Iran.
Mol Neurobiol. 2024 Nov;61(11):9078-9109. doi: 10.1007/s12035-024-04151-2. Epub 2024 Apr 8.
Parkinson's disease (PD) is a complex neurodegenerative disorder characterized by the progressive loss of dopaminergic neurons, leading to motor and non-motor symptoms. Emerging research has shed light on the role of gut microbiota in the pathogenesis and progression of PD. Nutraceuticals such as curcumin, berberine, phytoestrogens, polyphenols (e.g., resveratrol, EGCG, and fisetin), dietary fibers have been shown to influence gut microbiota composition and function, restoring microbial balance and enhancing the gut-brain axis. The mechanisms underlying these benefits involve microbial metabolite production, restoration of gut barrier integrity, and modulation of neuroinflammatory pathways. Additionally, probiotics and prebiotics have shown potential in promoting gut health, influencing the gut microbiome, and alleviating PD symptoms. They can enhance the gut's antioxidant capacity of the gut, reduce inflammation, and maintain immune homeostasis, contributing to a neuroprotective environment. This paper provides an overview of the current state of knowledge regarding the potential of nutraceuticals and gut microbiota modulation in the prevention and management of Parkinson's disease, emphasizing the need for further research and clinical trials to validate their effectiveness and safety. The findings suggest that a multifaceted approach involving nutraceuticals and gut microbiota may open new avenues for addressing the challenges of PD and improving the quality of life for affected individuals.
帕金森病(PD)是一种复杂的神经退行性疾病,其特征是多巴胺能神经元进行性丧失,导致运动和非运动症状。新出现的研究揭示了肠道微生物群在 PD 的发病机制和进展中的作用。姜黄素、小檗碱、植物雌激素、多酚(如白藜芦醇、表没食子儿茶素没食子酸酯和非瑟酮)、膳食纤维等营养素有影响肠道微生物群组成和功能的作用,恢复微生物平衡并增强肠-脑轴。这些益处的机制涉及微生物代谢产物的产生、恢复肠道屏障完整性和调节神经炎症途径。此外,益生菌和益生元在促进肠道健康、影响肠道微生物群和缓解 PD 症状方面显示出潜力。它们可以增强肠道的抗氧化能力,减少炎症,维持免疫内稳态,为神经保护环境做出贡献。本文概述了关于营养和肠道微生物群调节在预防和管理帕金森病方面的潜在作用的现有知识状态,强调需要进一步的研究和临床试验来验证其有效性和安全性。研究结果表明,涉及营养和肠道微生物群的多方面方法可能为应对 PD 的挑战和改善受影响个体的生活质量开辟新途径。